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Petition For Limited Driving Privileges For Fra Suspension Form - Ashtabula Municipial Court

IN THE ASHTABULA MUNCIIPAL COURT

ASHTABULA, OHIO

___________________________

(Name)

___________________________

CASE NO

(Address)

___________________________

(City/State/Zip Code)

PETITION FOR LIMITED DRIVING PRIVILEGES

Plaintiff

FOR FRA SUSPENSION

ALBERT S. CAMPLESE, JUDGE

FRANKLIN CALTRIDER, RIGISTRAR

BUREAU OF MOTOR VEHICLES

P.O. Box 16520, MVODIP

Social Security No.: ________________________

Columbus, Ohio 43216

Date of Birth: _____________________________

Operator’s License No.: ____________________

Defendant

1. Now comes the Plaintiff, _________________________________________, and states that he/she resides within the

(Your Name)

jurisdiction of this Court. Plaintiff further states on or about __________________________ he/she received

(Date of Notice from BMV)

notice from the State of Ohio advising him/her that his/her driver’s license will be suspended effective

______________________ to ______________________.

(Beginning Date of Suspension)

(Ending Date of Suspension)

2. Plaintiff has provided proof of employment, school schedule and medical appointments, and proof of insurance.

3. Plaintiff has provided letter from the Ohio Bureau of Motor Vehicles indicating FRA suspension.

4. Plaintiff agrees to pay court costs of said proceedings.

____________________________________

(Signature)

CERTIFICATE OF SERVICE

I hereby certify that a correct copy of this complaint to set aside or modify suspension was sent by regular mail to

FRANKLIN L. CALTRIDER, REGISTRAR, BUREAU OF MOTOR VHEICLES, P.O. BOX 16520, ATTN: MOVDIP,

COLUMBUS, OHIO 43216, this ____________ day of ___________________________, 2000.

__________________________________________

(Signature)

Petition For Limited Driving Privileges For Fra Suspension Form - Ashtabula Municipial Court